Raju Vaishya 1 , Abhishek Vaish 1 . Show Affiliations »
Abstract
BACKGROUND: Falls in older adults are a reasonably common occurrence and about 10% of these experience multiple falls annually. These falls may be serious and may cause significant morbidity and mortality. These can also threaten the independence of older people and may be responsible for an individual's loss of independence and socioeconomic consequences. These falls may add extra burden to the health care and to direct and indirect costs. METHODOLOGY: An extensive search of literature was done on the important data bases of PubMed, SCOPUS, and Google Scholar on this topic and all the useful information was derived from the relevant articles for this review. RESULTS: We found that the falls in older individuals are often multi factorial and hence a multidisciplinary approach is required to prevent and manage these falls. The risk factors leading to the falls could be divided into extrinsic, intrinsic and situational factors. The commonest and serious injuries are to the head and fractures, due to fragility of bones. DISCUSSION: The falls in elderly are on rise and taking the shape of an epidemic. Prevention of these falls is far better than the management. Safe living environment of the elderly people helps in prevention of these falls. The management of the falls should focus on the causative factors, apart from treating the injuries caused by the falls. © Indian Orthopaedics Association 2020.
BACKGROUND: Falls in older adults are a reasonably common occurrence and about 10% of these experience multiple falls annually. These falls may be serious and may cause significant morbidity and mortality. These can also threaten the independence of older people and may be responsible for an individual's loss of independence and socioeconomic consequences. These falls may add extra burden to the health care and to direct and indirect costs. METHODOLOGY: An extensive search of literature was done on the important data bases of PubMed, SCOPUS, and Google Scholar on this topic and all the useful information was derived from the relevant articles for this review. RESULTS: We found that the falls in older individuals are often multi factorial and hence a multidisciplinary approach is required to prevent and manage these falls. The risk factors leading to the falls could be divided into extrinsic, intrinsic and situational factors. The commonest and serious injuries are to the head and fractures, due to fragility of bones. DISCUSSION: The falls in elderly are on rise and taking the shape of an epidemic. Prevention of these falls is far better than the management. Safe living environment of the elderly people helps in prevention of these falls. The management of the falls should focus on the causative factors, apart from treating the injuries caused by the falls. © Indian Orthopaedics Association 2020.
Entities: Chemical
Keywords:
Fall; Fractures; Geriatrics; Older adults; Prevention; Risk factors
Year: 2020
PMID: 32257019 PMCID: PMC7093636 DOI: 10.1007/s43465-019-00037-x
Source DB: PubMed Journal: Indian J Orthop ISSN: 0019-5413 Impact factor: 1.251